Occurrence, spatiotemporal distribution, and health risk of antibiotics in the Wuhan section of the Yangtze River, China

The occurrence, spatiotemporal changes, and health hazard of antibiotics in source water and finished water in the Wuhan section of the Yangtze River are not well understood. In this study, 43 source water and finished water samples were collected from 11 water plants in Wuhan in August 2021 and May 2022. Fifty-one antibiotics from eight categories were measured. A total of 41 antibiotics were detected in the source water samples, and 24 in the finished water samples. The total antibiotic concentration in source water ranged from 1.68 to 437.18 ng/L, which is significantly higher than that in finished water (2.04-87.25 ng/L). Sulfonamides and lincosamides were predominant, accounting for nearly 80% of the total antibiotic concentration. Lincomycin constituted nearly 30% of the total antibiotic concentration in the source water. In August 2021, the average total antibiotic concentration in source water was 107.12 ng/L, higher than in May 2022 (63.13 ng/L). Spatially, the total antibiotic concentrations in samples collected from the Han River, a tributary of the Yangtze River, were higher than those in the main stream of the Yangtze River. Ecological risk assessment indicated that the hazard posed by most antibiotics were negligible. Lincomycin potentially posed a high health hazard, and clarithromycin and roxithromycin posed a moderate hazard to infants.